使用电子医疗记录测量急诊室工作负载感知 患者体积和敏度的测量
DaMarcus E Baymon1, Eric Shappell2, Yoon Soo Park3
1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
The Journal of emergency medicine
|February 29, 2024
概括
紧急部门 (ED) 医生的工作负载感知与电子病历 (EMR) 数据的相关性很弱. 客观的EMR措施不能完全捕捉ED中的临床医生的工作量.
科学领域:
- 紧急医疗 紧急医疗
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 紧急部门 (ED) 的工作负载在不可预测地波动.
- 没有确立的模型来衡量临床医生级别的ED工作量.
研究的目的:
- 为了测量在护理医生中感知的ED工作量.
- 评估从电子病历 (EMR) 感知到的工作量和客观措施之间的关系.
主要方法:
- 在2020年7月至2021年4月的第三级护理,学术ED中进行的研究.
- 通过三个护理领域的五分尺度收集了出席工作负载的感知.
- 八个EMR测量与使用线性回归和ANOVA感知的工作量相关联.
主要成果:
- 收集了315个工作负载评级;在感知工作负载和住院患者入院,ICU入院,患者到来,重症监护访问,CPR激活和5级访问之间发现了微弱的正相关性.
- 在ED排放中观察到弱负相关性.
- 在特定的护理领域发现了更强的相关性,但在观察入院或创伤激活方面没有显著的相关性.
结论:
- 在EMR测量中,与ED治疗医生的工作负载感知有很弱的相关性.
- 未来的研究应该探索超出EMR数据的因素,这些因素有助于医生的工作量.
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